Baker, John Edward

Baker, John Edward is an individual health care provider with primary practice located at 2625 Coffee Rd Ste S, Modesto CA 95355-2050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Baker, John Edward can be contacted via phone (208) 577-1200.

Contact Information

Primary practice address
2625 Coffee Rd Ste S Modesto CA 95355-2050
Phone: (208) 577-1200
Fax: (209) 577-6517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G27612 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G27612 California

Profile Details

NPI number 1841295607
LBN Legal business name Baker, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841295607 NPPES
California Other G27612 LICENSE

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